Individual
MELISSA ANNETTE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
104 REYNOLDS RD, GLASGOW, KY 42141-1177
(270) 779-9175
Mailing address
104 REYNOLDS RD, GLASGOW, KY 42141-1177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
270569
KY
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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